MRS. BRENDA RENEE WALLACE RN, MSN, ARNP
NPI 1912211681
Clinical Nurse Specialist - Women's Health in Dover, FL

Q: What is Brenda Wallace's NPI number?

The NPI number for Brenda Wallace is 1912211681. It was assigned to this individual provider in the NPPES registry on August 4, 2010.

Q: What is Brenda Wallace's specialty?

The primary specialty registered for this NPI is Clinical Nurse Specialist, specializing in Women's Health, with taxonomy code 364SW0102X.

Q: When was this NPI record last updated?

The NPPES record for Brenda Wallace was last updated on August 4, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since August 04, 2010

1406 ROWANTREE DR, DOVER, FL 33527(850) 766-9131(813) 651-3473 Get Directions Write a Review

NPPES record last updated: August 4, 2010. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Mrs. Brenda Renee Wallace Rn, Msn, Arnp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MRS. BRENDA RENEE WALLACE RN, MSN, ARNP (NPI 1912211681) is an individual women's health provider in Dover, Florida, licensed in Florida (ARNP 9181213) and active in the NPI registry since August 2010.

NPPES Registry Identity

NPI1912211681

Entity TypeIndividualFemale

Primary Taxonomy364SW0102X

Provider Legal NameMRS. BRENDA RENEE WALLACECredential: RN, MSN, ARNP

Location Address1406 ROWANTREE DRDover, FL 33527-4937

Mailing Address1406 Rowantree DrDover, FL 33527-4937 · (850) 766-9131 · Fax (813) 651-3473

Phone(850) 766-9131

Fax(813) 651-3473

Sole ProprietorNo

Enumeration DateAugust 4, 2010

✔ NPI 1912211681 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinical Nurse Specialist · Women's HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code364SW0102X

License✔ Licensed in FL · ARNP 9181213

1406 ROWANTREE DR, Dover, FL 33527

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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Brenda Wallace's NPI number?

The NPI number for Brenda Wallace is 1912211681. It was assigned to this individual provider in the NPPES registry on August 4, 2010.

Where is Brenda Wallace located?

Brenda Wallace practices at 1406 Rowantree Dr, Dover, FL 33527. The listed phone number is (850) 766-9131.

What is Brenda Wallace's specialty?

The primary specialty registered for this NPI is Clinical Nurse Specialist, specializing in Women's Health, with taxonomy code 364SW0102X.

When was this NPI record last updated?

The NPPES record for Brenda Wallace was last updated on August 4, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.